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NPI Code Detail

MEDICARE: HOLLY CORRIGAN

MEDICARE:   HOLLY  CORRIGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY10000720MA

General Provider Information

NPI Number : 1326857939
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY CORRIGAN
Provider Business Mailing Address
First Line : 11 MIDSTATE DR STE 3
Second Line :
City : AUBURN
State : MA
Zip : 01501-1882
Country : US
Telephone Number : 781-551-0999
Fax Number :
Provider Business Practice Location Address
First Line : 11 MIDSTATE DR STE 3
Second Line :
City : AUBURN
State : MA
Zip : 01501-1882
Country : US
Telephone Number : 781-551-0999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2025
Last Update Date : 01/07/2025

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Directions to “ HOLLY CORRIGAN ” Practice Location

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